Abstract
PurposeTo report amniotic membrane (AM) transplantation in a patient with wound dehiscence 5 months after deep lamellar keratoplasty (DLKP)MethodsThe patient was an 84-year-old Japanese man who had undergone right DLKP 5 months earlier for central corneal scarring due to recurrent stromal herpetic keratitis. He developed wound dehiscence with corneal stromal melting due to recurrence of stromal herpes in both the donor and recipient sites. "AM roll-in filling technique" and AM patching were performed.ResultsFollowing AM transplantation, stromal inflammation subsided and complete epithelization occurred within 10 days of surgery.At 8 months postoperatively, biomicroscopy revealed stable wound apposition or stromal gain. Following AM transplantation, stromal inflammation subsided and complete epithelialization was achieved within 10 days after surgery.ConclusionAM transplantation may offer an effective treatment modality for herpetic corneal wound dehiscence after DLKP.
Highlights
We report amniotic membrane (AM) transplantation in a patient with wound dehiscence 5 months after deep lamellar keratoplasty (DLKP)
An 84-year-old Japanese man was referred to our hospital for keratoplasty-due to central corneal opacity and peripheral corneal neovascularization with lipid deposition in the right eye (Figure 1A)
AM has been commomly used to repair areas of corneal stromal loss by mutilayered AM, but which technique is difficult to apply for wound dehiscence because of shape of stromal loss
Summary
The patient was an 84-year-old Japanese man who had undergone right DLKP 5 months earlier for central corneal scarring due to recurrent stromal herpetic keratitis.
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